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← CHORUS COMMUNITY HEALTH PLANS INC

Form 990 for tax year 2022

Filed by CHORUS COMMUNITY HEALTH PLANS INC.

Totals

Total revenue
$462,603,968
Total expenses
$438,710,759
Contributions and grants received
$0
Grants paid
$169,745
Program service revenue
$460,810,003
Investment income
$1,764,379
Other revenue
$29,586
Total assets, end of year
$253,600,863
Total liabilities, end of year
$89,569,966
Net assets or fund balances, end of year
$164,030,897
Program services expenses (Part IX)
$423,093,579
Management and general expenses
$15,617,180
Fundraising expenses
$0
Program service expenses (Part III)
$423,093,579

Program services were 96.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: PREMIUM REVENUE

    total $438,038,466 · related or exempt $438,038,466

  • 2b · Program service revenue: FOSTER CARE MEDICAL HOME PIHP

    total $22,771,537 · related or exempt $22,771,537

  • 3 · Investment income

    total $1,976,008 · excluded $1,976,008

  • 7a · Gross sales of assets other than inventory

    securities $15,237

  • 7b · Less cost or other basis and sales expenses

    securities $4,571 · other assets $222,295

  • 7c · Gain or loss

    securities $10,666 · other assets -$222,295

  • 7d · Net gain or loss

    total -$211,629 · excluded -$211,629

  • 11a · Other revenue: OTHER REVENUE

    total $29,586 · related or exempt $29,586

  • 11e · Other revenue, total

    $29,586

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $169,745 · program services $169,745

  • 4 · Benefits paid to or for members

    total $358,408,920 · program services $358,408,920

  • 5 · Compensation of officers, directors and key employees

    total $251,722 · management and general $251,722

  • 7 · Other salaries and wages

    total $10,590,457 · program services $7,519,329 · management and general $3,071,128

  • 8 · Pension plan contributions

    total $552,411 · program services $392,217 · management and general $160,194

  • 9 · Other employee benefits

    total $1,428,158 · program services $1,014,006 · management and general $414,152

  • 10 · Payroll taxes

    total $753,900 · program services $535,276 · management and general $218,624

  • 11a · Fees: management

    total $3,617,772 · management and general $3,617,772

  • 11c · Fees: accounting

    total $106,774 · management and general $106,774

  • 11d · Fees: lobbying

    total $37,629 · management and general $37,629

  • 11f · Fees: investment management

    total $106,059 · management and general $106,059

  • 11g · Fees: other

    total $32,737,264 · program services $29,331,403 · management and general $3,405,861

  • 12 · Advertising and promotion

    total $688,407 · program services $60,877 · management and general $627,530

  • 14 · Information technology

    total $1,151,736 · program services $95,674 · management and general $1,056,062

  • 16 · Occupancy

    total $416,190 · program services $416,190

  • 17 · Travel

    total $29,182 · program services $17,077 · management and general $12,105

  • 19 · Conferences, conventions and meetings

    total $14,219 · program services $8,503 · management and general $5,716

  • 22 · Depreciation, depletion and amortization

    total $193,361 · management and general $193,361

  • 23 · Insurance

    total $71,350 · management and general $71,350

  • 24a · Other expenses: FOSTER CARE MEDICAL HOM

    total $22,159,925 · program services $22,159,925

  • 24b · Other expenses: STATE INCOME TAX

    total $2,064,298 · management and general $2,064,298

  • 24c · Other expenses: PREMIUM RESERVE DEFICIE

    total $2,035,000 · program services $2,035,000

  • 24d · Other expenses: OTHER EXPENSES

    total $1,126,280 · program services $929,437 · management and general $196,843

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $254,049 · end of year $283,255

  • 2 · Savings and temporary cash investments

    beginning of year $134,812,127 · end of year $161,310,525

  • 4 · Accounts receivable

    beginning of year $56,303,383 · end of year $66,226,832

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,445,671 · end of year $1,266,182

  • 10a · Land, buildings and equipment: cost or other basis

    $863,098

  • 10b · Land, buildings and equipment: accumulated depreciation

    $469,001

  • 10c · Land, buildings and equipment, net

    beginning of year $809,753 · end of year $394,097

  • 11 · Investments: publicly traded securities

    beginning of year $23,682,504 · end of year $22,819,630

  • 15 · Other assets

    beginning of year $1,802,221 · end of year $1,300,342

  • 17 · Accounts payable and accrued expenses

    beginning of year $73,887,172 · end of year $82,956,531

  • 19 · Deferred revenue

    beginning of year $2,061,034 · end of year $2,108,606

  • 25 · Other liabilities

    beginning of year $1,759,514 · end of year $4,504,829

  • 27 · Net assets without donor restrictions

    beginning of year $141,401,988 · end of year $164,030,897

Mission and programs · 2022

Mission

CHORUS COMMUNITY HEALTH PLANS, INC. ("CCHP"), A SUBSIDIARY OF CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. ("CHHS"), IS A HEALTH MAINTENANCE ORGANIZATION DEDICATED TO PROVIDING ACCESS TO THE HIGHEST QUALITY HEALTH CARE AND SERVICES TO MEMBERS.

Activities or mission (Part I)

TO PROVIDE ACCESS TO QUALITY HEALTH CARE AND SERVICES TO ITS MEMBERS IN WI.

  • CCHP'S PURPOSE IS TO PROMOTE ACCESS TO HEALTHCARE SERVICES FOR LOW-INCOME CHILDREN AND CERTAIN OTHER DISADVANTAGED RESIDENTS OF THE STATE OF WISCONSIN, AND TO PROMOTE OR SPONSOR PROGRAMS FURTHERING THE HEALTH OF ITS MEMBERS AND THE LARGER COMMUNITIES SERVED. CCHP IS AN HMO FOR WISCONSIN MEDICAID-ELIGIBLE INDIVIDUALS AND FAMILIES LIVING IN BROWN, CALUMET, DOOR, FOND DU LAC, FOREST, GREEN LAKE, JEFFERSON, KENOSHA, KEWAUNEE, LINCOLN, MANITOWOC, MARINETTE, MILWAUKEE, OCONTO, ONEIDA, OUTAGAMIE, OZAUKEE, RACINE, ROCK, SHAWANO, SHEBOYGAN, VILAS, WALWORTH, WASHINGTON, WAUKESHA, WAUPACA, WAUSHARA, AND WINNEBAGO COUNTIES IN WISCONSIN. THE MEDICAID ENROLLMENT AT THE END OF DECEMBER 2022 WAS 156,369 MEMBERS, AND THERE WERE 9,741 INPATIENT ADMISSIONS, 423,414 AMBULATORY ENCOUNTERS, AND 2,436 DELIVERIES IN 2022. THE PLAN ALLOWS MEMBERS TO CHOOSE FROM A LARGE NETWORK OF PROVIDERS, WHICH INCLUDED MORE THAN 9,700 PHYSICIANS, MORE THAN 10,900 NON PHYSICIANS, AND 71 HOSPITALS IN 2022. IN ADDITION, CCHP OFFERS HOME CARE, MEDICAL EQUIPMENT PROVIDERS AND THE CCHP NURSELINE FOR ITS MEMBERS.

    Expenses $284,757,446 · Grants $169,745 · Revenue $317,779,300

  • CCHP SELLS INDIVIDUAL COMPREHENSIVE INSURANCE PLANS SUBJECT TO THE AFFORDABLE CARE ACT ON THE FEDERALLY FACILITATED MARKETPLACE AND OFF EXCHANGE DIRECTLY TO CONSUMERS. THERE WERE 13,046 MEMBERS ENROLLED AT THE END OF DECEMBER 2022. APPROXIMATELY 77 PERCENT OF THE POLICY HOLDERS RECEIVED AN ADVANCE PREMIUM TAX CREDIT (APTC), AND THESE CREDITS ACCOUNTED FOR 57 PERCENT OF THE PREMIUM REVENUE FROM MEMBERS. ADDITIONALLY, APPROXIMATELY 31 PERCENT OF THE ENROLLMENT MONTHS WERE ON SILVER PLANS THAT QUALIFIED FOR COST SUBSIDY REIMBURSEMENT (CSR), ALTHOUGH CMS NO LONGER PAYS THE SUBSIDY. BEGINNING IN 2022, CCHP ALSO STARTED TO SELL A STAND-ALONE DENTAL INSURANCE PLAN, WHICH HAD 79 MEMBERS ENROLLED AT THE END OF DECEMBER 2022.

    Expenses $115,661,898 · Revenue $120,288,752

  • CCHP RECORDED REVENUE AND EXPENSES FOR CHHS' FOSTER CARE MEDICAL HOME PROGRAM CALLED CARE4KIDS. CARE4KIDS IS A NON-RISK PREPAID INPATIENT HEALTH PLAN CONTRACT BETWEEN CHHS AND WISCONSIN MEDICAID THAT PROVIDES COMPREHENSIVE HEALTHCARE SERVICES FOR QUALIFYING FOSTER CHILDREN IN SOUTHEASTERN WISCONSIN. CCHP PROVIDES UTILIZATION MANAGEMENT AND A PROVIDER NETWORK, AND PROCESSES CLAIMS FOR THE PARTICIPANTS VIA A SUBCONTRACT AGREEMENT WITH CHHS. THERE WERE 2,915 FOSTER CHILDREN IN CARE4KIDS AT THE END OF DECEMBER 2022.

    Expenses $22,674,235 · Revenue $22,771,537

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Margaret Troy

    DIRECTOR/PRESIDENT & CEO CHHS

    Total calculated
    $2,032,326
    From this org
    $0
    From related orgs
    $1,973,534
    Other
    $58,792
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,134,014 related
    Bonus
    $0 + $410,825 related
    Other
    $0 + $428,695 related
    Deferred
    $0 + $22,450 related
    Nontaxable benefits
    $0 + $36,342 related
    Filer's total
    $0 + $2,032,326 related

  • Robert Duncan End 12822

    DIRECTOR/PRES CCHP & EVP CHHS

    Total calculated
    $278,049
    From this org
    $0
    From related orgs
    $257,357
    Other
    $20,692
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $44,161 related
    Bonus
    $0 + $131,892 related
    Other
    $0 + $81,304 related
    Deferred
    $0 + $17,251 related
    Nontaxable benefits
    $0 + $3,441 related
    Filer's total
    $0 + $278,049 related

  • James Purko

    DIRECTOR/CHAIR

    Total calculated
    $0
    Hours/week
    1

  • David Drury

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Mark Hogan

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Ben Melson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Thomas Precia

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Michael Silver

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Clark Slipher

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Marc Cadieux

    TREASURER/CORP VP & CFO

    Total calculated
    $1,120,774
    From this org
    $0
    From related orgs
    $993,812
    Other
    $126,962
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $635,957 related
    Bonus
    $0 + $162,297 related
    Other
    $0 + $195,558 related
    Deferred
    $0 + $123,257 related
    Nontaxable benefits
    $0 + $3,705 related
    Filer's total
    $0 + $1,120,774 related

  • Michelle Mettner End 123122

    SECRETARY/CORP VP GOV & LEGAL AFFAIRS

    Total calculated
    $815,416
    From this org
    $0
    From related orgs
    $703,637
    Other
    $111,779
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $469,771 related
    Bonus
    $0 + $92,214 related
    Other
    $0 + $141,652 related
    Deferred
    $0 + $82,467 related
    Nontaxable benefits
    $0 + $29,312 related
    Filer's total
    $0 + $815,416 related

  • Mark Rakowski

    DIRECTOR/PRESIDENT OF CCHP

    Total calculated
    $663,578
    From this org
    $0
    From related orgs
    $543,242
    Other
    $120,336
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $356,478 related
    Bonus
    $0 + $71,615 related
    Other
    $0 + $115,149 related
    Deferred
    $0 + $83,250 related
    Nontaxable benefits
    $0 + $37,086 related
    Filer's total
    $0 + $663,578 related

  • Michael Boeder

    COO CCHP

    Total calculated
    $251,722
    From this org
    $220,275
    From related orgs
    $0
    Other
    $31,447
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $205,963
    Bonus
    $13,282
    Other
    $1,030
    Deferred
    $15,734
    Nontaxable benefits
    $15,713
    Filer's total
    $251,722

  • James Slawson

    CHIEF MEDICAL OFFICER CCHP

    Total calculated
    $380,511
    From this org
    $327,985
    From related orgs
    $0
    Other
    $52,526
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $298,338
    Bonus
    $16,561
    Other
    $13,086
    Deferred
    $16,350
    Nontaxable benefits
    $36,176
    Filer's total
    $380,511

  • Lynn Maskel End 9222

    MEDICAL DIR

    Total calculated
    $236,871
    From this org
    $211,708
    From related orgs
    $0
    Other
    $25,163
    Hours/week
    28

    Schedule J breakdown matched by us

    Base
    $103,996
    Bonus
    $8,460
    Other
    $99,252
    Deferred
    $12,863
    Nontaxable benefits
    $12,300
    Filer's total
    $236,871

  • Kelly Hodges

    ASSOCIATE CMO CCHO

    Total calculated
    $273,961
    From this org
    $260,114
    From related orgs
    $0
    Other
    $13,847
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $245,922
    Bonus
    $13,673
    Other
    $519
    Deferred
    $10,250
    Nontaxable benefits
    $3,597
    Filer's total
    $273,961

  • Lynn Kryfke End 102922

    EXEC DIR HEALTH PLAN CLIN

    Total calculated
    $181,872
    From this org
    $166,461
    From related orgs
    $0
    Other
    $15,411
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $137,025
    Bonus
    $8,473
    Other
    $20,963
    Deferred
    $13,138
    Nontaxable benefits
    $2,273
    Filer's total
    $181,872

  • Danielle Coterel

    DIR COMMERCIAL PROD DEV SALES

    Total calculated
    $178,710
    From this org
    $155,833
    From related orgs
    $0
    Other
    $22,877
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $132,065
    Bonus
    $18,706
    Other
    $5,062
    Deferred
    $11,015
    Nontaxable benefits
    $11,862
    Filer's total
    $178,710

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
CCHP RELIED UPON CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. ("CHHS"), THE CORPORATE MEMBER OF CCHP, TO ESTABLISH THE COMPENSATION OF CCHP'S PRESIDENT. CHHS USED ITS INDEPENDENT COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, THE FORM 990 OF OTHER ORGANIZATIONS, A COMPENSATION SURVEY, AND APPROVAL BY THE COMPENSATION COMMITTEE TO DETERMINE THE COMPENSATION.
PART I, LINE 4B
IN 2022, THERE WAS A CHHS EXECUTIVE FLEXIBLE BENEFIT PLAN IN PLACE WHICH WAS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN (457(F) PLAN). THE CORPORATION CONTRIBUTES 10% OF EACH PARTICIPATING EXECUTIVE'S SALARY. THE AMOUNTS OF EMPLOYER CONTRIBUTIONS TO THIS PLAN FOR PARTICIPATING EXECUTIVES IN 2022 WERE AS FOLLOWS: M. CADIEUX, $100,807; M. METTNER, $60,017; AND M. RAKOWSKI $57,750. AFTER A VESTING PERIOD, PARTICIPANTS MAY ELECT TO WITHDRAW AMOUNTS PREVIOUSLY CONTRIBUTED AND REPORTED. AMOUNTS WITHDRAWN BY PARTICIPANTS IN 2022 WERE: M. CADIEUX, $133,747, M. METTNER, $93,242 AND M. RAKOWSKI, $82,132.
PART I, LINE 7
CERTAIN EXECUTIVES PARTICIPATE IN AN ANNUAL BONUS PLAN THAT PROVIDES COMPENSATION BASED ON ACHIEVING SPECIFIC PRE-DEFINED GOALS. BONUS CRITERIA ARE COMPRISED OF BOTH SYSTEM LEVEL AND EXECUTIVE SPECIFIC COMPONENTS. SUCH CRITERIA PERTAIN TO MATTERS WITHIN THE EXECUTIVE'S AREA OF RESPONSIBILITY, AS WELL AS ACHIEVEMENT OF OVERALL STRATEGIC OBJECTIVES OF THE ORGANIZATION AND ITS AFFILIATES IN ALIGNMENT WITH SYSTEM-WIDE BALANCED MEASURES.
FORM 990, PART VII, COLUMN E & SCHEDULE J, PART II:
SALARIES PAID BY RELATED ORGANIZATIONS: 1. ROBERT DUNCAN, FORMER PRESIDENT AND DIRECTOR OF CCHP AND EXECUTIVE VICE PRESIDENT - COMMUNITY SERVICES OF CHHS, MARGARET TROY, DIRECTOR OF CCHP AND PRESIDENT & CEO OF CHHS, MARC CADIEUX, TREASURER OF CCHP AND TREASURER & CFO OF CHHS, MICHELLE METTNER, SECRETARY OF CCHP AND CORP VP GOV & LEGAL AFFAIRS, AND MARK RAKOWSKI, PRESIDENT AND DIRECTOR, CCHP - REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS AND OTHER COMPENSATION LISTED IN PART VII AND SCHEDULE J WERE PAID FOR SERVICES PROVIDED (40 HOURS PER WEEK) TO CHHS AND ITS AFFILIATES. THESE AMOUNTS WERE PAID BY CHHS. SERVICES BY MS. TROY, MR. DUNCAN AND MR. RAKOWSKI AS MEMBERS OF THE BOARD OF DIRECTORS OF CCHP WERE PROVIDED ON A PART-TIME VOLUNTARY BASIS.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • WEST ALLIS PRESCRIPTION CENTER INC

    C · PHARMACY · WI

  • WAUWATOSA PRESCRIPTION CENTER INC SKYWALK PHARMACY

    C · PHARMACY · WI

Provenance

Return type
form_990
Tax year
2022
Filed
25 October 2023
IRS schema version
2022v5.0
Source object
202313039349300046

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